The definitions in this glossary are intended exclusively for general information purposes. They are not intended as a complete description of all the conditions and exclusions applicable to defined products and services. If there is an inconsistency between the definitions contained in this glossary and the definitions contained in the actual policy, the definitions contained in the actual policy also apply. In all cases, RSA products and services are subject to the conditions of the effective directive and the laws of jurisdiction in which products and services are offered. Provider Sponsored Network (PSN) – formal affiliations of providers, sometimes referred to as “integrated delivery systems,” organized and operated to provide an integrated network of health care providers with whom third parties, such as insurance, HMOs or other health plan companies, can provide contracts for health services to those affected. Some integration models include medical hospital organizations, service management organizations, wallless group practices, medical foundations and health care cooperatives. Pool – an association organized to absorb losses through a risk-sharing mechanism and thus limit individual exposures. Rated policy – an insurance contract for which the value is agreed in advance and is not related to the amount of insured damages. LIABILITY ASSURANCE – In the event of an accident in which you are charged with trestle or infringement of another person`s property, liability insurance pays for the costs of your legal defence as well as the costs associated with damages for which you are legally liable. RISK – (1) A chance to lose. (2) An insured person or person. (Impaired or sub-standard: an applicant whose physical condition or moral habits do not meet the standard on which the sentence is based). Medicare – a major initiative of the Balanced Budget Act of 1997 (also known as Medicare Part C), under which Medicare recipients can choose from several managed care options or a Medicare system.
ASSUMED LIABILITY – a liability that would not rest with a person, except that he assumed responsibility through an explicit or implied contract. This is also called contractual liability. BINDER – A temporary or provisional agreement that provides coverage until a policy can be written or delivered. Foreign insurers – an insurance company that sells policies in a state other than where they have their headquarters or residence. ACT OF GOD – A sudden and violent act of nature that could not be anticipated or prevented. Examples: floods, earthquakes CONSEQUENTIAL DAMAGE – A loss that is the indirect consequence of an accident or fire, for example. B food that is spoiled by a refrigerator failure. OCCURRENCE – An event that causes insured harm.
In some areas of insurance, such as liability. B, it is distinguished from accidents by the fact that the damage must not be sudden and random and may result from continuous or repeated exposure resulting in bodily harm or property damage that is neither expected nor intentional on the part of the insured. This is the date on which an insurance policy or loan comes into effect and is protected. REINSURANCE – (1) A liability by which the insurance company obtains other insurance to insure it against loss or liability on the basis of the initial insurance.